Applications / Forms

To make it as easy as possible for you to do business with Distinguished, you can access and print many of our applications and forms right from our website. Simply click on the link here to get started.

You'll need Adobe Reader to view and print the forms (you can download the reader by clicking here).

COMMUNITY ASSOCIATION PROGRAMS

Directors and Officers Liability for Community Associations
Short Form (online) or (PDF)
Directors and Officers Liability for Community Associations
Long Form (PDF)
Low Limits Umbrella for Community Associations (online) or (PDF)
High Limits Umbrella for Community Associations (PDF)
Common Area Package Program - CAPP Application (PDF)
Common Area Package Program - CAPP Application (Illinois) (PDF)
Lake Supplemental Application (for Package Quote) (PDF)
Supplemental Automobile Application - use if association
has vehicles (PDF)
Crime for Community Associations (online) or (PDF)

REAL ESTATE INDUSTRY PROGRAMS

Primary Property and Commercial General Liability
Building Questionnaire (Excel) or (PDF)
Underwriting Supplement (Word) or (PDF)
Commercial Building / Restaurant Exposure Application (PDF)
Vacant Land Application (PDF)
Day Care Application (PDF)
Affordable Housing - Social Service Operations Questionnaire (PDF)
Affordable Housing - Ownership and Operations Questionnaire (PDF)
Automobile Application - owned / leased autos only (PDF)
Student Housing Application (PDF)
City Homes Application (Online) or (Excel)
City Homes Supplemental Application - Suggested use - for multi-location accounts or when the Building Questionnaire has already been completed. (PDF)
New York Brick and Brownstone Building Insurance Program (online) or (Excel)
NY Anti-Arson – over 4-family only (PDF)

Umbrella Liability
Building Questionnaire (Excel) or (PDF)
High Limits Umbrella for Community Associations (PDF)
Underlying Carrier Information Application (PDF)
Commercial Building / Restaurant Exposure Application (PDF)
Vacant Land Application (PDF)
Day Care Application (PDF)
Affordable Housing - Social Service Operations Questionnaire (PDF)
Affordable Housing - Ownership and Operations Questionnaire (PDF)
Automobile Application - owned / leased autos only (PDF)
Student Housing Application (PDF)
City Homes Application (Online) or (Excel)
City Homes Supplemental Application - Suggested use - for multi-location accounts or when the Building Questionnaire has already been completed. (PDF)

AGENCY/BROKERAGE APPOINTMENT FORMS

Producer Profile (PDF)
Brokerage Agreement (PDF)